Diseño de un protocolo de conciliación de medicamentos en el área de hospitalización del Hospital Básico San Marcos de Riobamba

Abstract

The main objective of this research study was to design a medication reconciliation protocol for patients admitted to the hospitalization area of Hospital Básico San Marcos de Riobamba. For the development of the research, we proceeded in 5 phases: a survey was apply to all health professionals in the hospitalization area, the information was collected for each patient such as age, sex, weight, underlying diseases and diagnoses in the hospitalization area, medication errors were identify to classify them according to the type and severity they present and socialization was carry out to all hospitalization personnel. As a result, 124 clinical records were reviewed and some medication errors were found. According to the type of medication error, 83% were due to lack of information about the medication, including omission of the route, frequency, and concentration of the medication, 17% were due to insufficient monitoring of the treatment where there were interactions with medications. The most frequent type of severity was the lack of information about the medication with 83% with a type B severity, followed by insufficient monitoring of the treatment with 17% with a type C severity. Based on all this information, a medication reconciliation protocol was drawn up and the protocol was shared with all health personnel in the hospitalization area. It was concluded that the Hospital Básico San Marcos does not have a medication conciliation process in the hospitalization service from the moment the patient is admitted, for this reason, 109 medication errors were found. It is recommended to promote the use of the medication conciliation protocol in the hospitalization area, as well as to continue training health personnel on medication reconciliation.